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Chronic Care Pharmacy Specialist

2 months ago

Cambridge, Massachusetts, United States AndHealth Full time
Job Overview

Position: Pharmacy Liaison

Employment Type: Full Time

Location: Cambridge, OH

AndHealth is a pioneering healthcare technology organization dedicated to empowering individuals to overcome chronic health challenges. Our mission is to enhance accessibility and affordability of top-tier specialty care for everyone. We collaborate with health systems, community health centers, insurance plans, and employers to eliminate obstacles to care, ensuring equitable access for all.

Role Responsibilities:

  • Engage proactively with patients experiencing chronic health issues to verify benefits and identify suitable secondary coverage options.
  • Conduct insurance verifications and medication coverage assessments, collaborating with healthcare providers to navigate formulary limitations.
  • Assist in completing prior authorizations or appeals to secure medication access for patients.
  • Maintain regular communication with patients regarding their medication usage and ongoing requirements, liaising with in-house or contracted pharmacies.
  • Perform routine reassessments of patients' medication usage, identifying any concerns or side effects they may encounter.
  • Consult with pharmacists or healthcare providers regarding patients' clinical needs, directing all clinical interventions or counseling to the appropriate licensed professional.
  • Support patients in scheduling prescriptions, refills, or deliveries.
  • Document all patient interactions in specialty pharmacy software systems.
  • Generate reports to track new patients, upcoming medication requirements, and adherence-related metrics.
  • Assist with patient check-ins during in-person visits, collecting vital signs and updating relevant health information.
  • Ensure patients receive necessary lab work during visits, schedule follow-up appointments, and provide printed orders for additional tests.
  • Facilitate the completion of health questionnaires with patients as needed, utilizing tablets and other technologies.
  • Guide patients in installing and accessing the AndHealth app on their mobile devices.
  • Manage patient referrals for specialty care.
  • Perform additional responsibilities as required.

Education & Licensure Requirements:

  • Bachelor's degree is preferred.
  • Certified Pharmacy Technician in the state of OH is required.
  • National certification (PTCB or ExCPT) is preferred.
  • Willingness to obtain and maintain licenses or certifications across multiple states is essential.

Preferred Skills and Qualifications:

  • 3+ years of experience in pharmacy or nurse navigation is preferred.
  • Exceptional written and verbal communication skills.
  • Strong attention to detail with the ability to manage multiple tasks simultaneously.
  • Comfortable with technology and adaptable to new systems.
  • Willingness to travel as needed; reliable transportation is required.
  • Organized and capable of working independently.

Additional Health Requirements:

  • Proof of negative TB skin test within the last 12 months.
  • Documentation of MMR immunity or a blood titer.
  • Documentation of Varicella vaccination or a blood titer.
  • Completion of Hepatitis B series.
  • Influenza vaccination is required.
  • COVID vaccination is required.
  • Additional health requirements may apply.

What We Offer:

  • A commitment to equal investment and support for our team and patients.
  • A dynamic and ambitious start-up culture that embraces innovation and learning.
  • Opportunities to showcase creativity and collaboration within a supportive team environment.
  • A welcoming team of skilled professionals, each contributing unique strengths.
  • Continuous opportunities for personal and professional growth.
  • Full-time employees are eligible for a comprehensive benefits package, including Medical, Dental, Vision Insurance, Paid Time Off, and more.

We are an equal opportunity employer and are dedicated to fostering an inclusive environment for all employees. We welcome applicants from diverse backgrounds and will consider all candidates without regard to race, religion, gender, gender identity, sexual orientation, national origin, age, disability, or veteran status.